For Health Plans

Win employer business and improve plan performance — without disrupting your infrastructure

Garner’s turnkey solution modernizes health plan performance by delivering better provider rankings, more accurate directories, and dynamic benefit design—without disrupting networks, filings, or administration.

Profile card of Dr. Natalie DeLeon, Pediatrician, with an overall score of 99, highlighting excellence in diagnosing problems, prescribing treatments, and patient outcomes.
75%
of all U.S. medical claims nationally
550+
physician metrics across 80+ specialties
92%
accuracy of our phone and address directory
Proprietary analytics that go far beyond traditional episodic groupers and black-box rankings
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Lower claims costs through a proven incentive model

Garner pairs best-in-class provider rankings with an innovative incentive account that encourages members to choose high-value care.

This approach enables health plans to offer richer benefit designs (including first-dollar coverage options), lower total plan costs by 12%, and improve underwriting margin and renewal competitiveness.

Zero disruption to your health plan

Garner works with your existing plans and provider networks, requiring no custom integrations or operational changes. The solution is fully compliant with payer–provider contracts and does not require refiling medical plans.

Illustration of a diverse network of six healthcare professionals connected by lines and dots.
Smiling woman in a navy jacket talking on a phone in a bright entryway with coats hanging and keys on a wooden table.

Unmatched member experience

By solving directory issues and taking the guesswork out of finding high-quality care, Garner offers an unmatched experience for health plan members.

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Identify high-impact employer opportunities

Use Garner’s claims-based insights to identify employer groups with rising trend, renewal pressure, or opportunity for alternative plan designs.

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Enhance existing plans — without disruption

Layer Garner onto existing plans and provider networks to enable richer benefit designs and meaningful incentives for high-value care — with no changes to plan filings, networks, or administration.

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Improve plan performance and competitiveness

By steering care to top-performing providers, Garner helps health plans lower total cost of care, improve underwriting margin, and deliver more competitive renewals over time.

Garner’s analytics are broader and deeper than any individual plan

Garner Health
Average national carrier
Patients in dataset
320+ million
75 million
# of specialities ranked
82
17
# of individual metrics
550+
73
Average member engagement rate
60%
25%

Resources

New Aon Study: Employers with Garner Experienced 7.4% Lower Medical Costs with No Plan Design Changes

Read more

Fertility, Menopause and the Care Gap Employers Can't Ignore | Dr. Asima Ahmad

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What's Really Driving the Healthcare Cost Crisis? Pt. II: Hospital Costs

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Discover how Garner can benefit your business